| Bowker Clinic Of Chiropractic And Sports Medicine | |
|
6911 Shannon Willow Rd Ste 400, Charlotte, NC 28226-1350 | |
| (704) 541-6400 | |
| (704) 541-4169 |
| Full Name | Bowker Clinic Of Chiropractic And Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6911 Shannon Willow Rd Ste 400, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104837350 | NPI | - | NPPES |
| 0826A | Other | NC | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Daniel S Bowker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417968660 PECOS PAC ID: 4284891953 Enrollment ID: I20120208000185 |
| Provider Name | Nathan D Bowker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275009896 PECOS PAC ID: 3678818762 Enrollment ID: I20181218001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Bowker Clinic Of Chiropractic And Sports Medicine 6911 Shannon Willow Rd Ste 400, Charlotte, NC 28226-1350 Ph: (704) 541-6400 | Bowker Clinic Of Chiropractic And Sports Medicine 6911 Shannon Willow Rd Ste 400, Charlotte, NC 28226-1350 Ph: (704) 541-6400 |
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